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DANIEL BROUSSARD
NPI 1053726554
Social Worker - Clinical in Loma Linda, CA

Active since June 24, 2014
11201 BENTON ST RM 1B-126, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2025, Nov 30, 2022 (2 updates tracked since 2022).

About Daniel Broussard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL BROUSSARD (NPI 1053726554) is an individual clinical provider in Loma Linda, California, licensed in California (111281) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1053726554
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDANIEL BROUSSARD
Location Address11201 BENTON ST RM 1B-126Loma Linda, CA 92357-9508
Mailing Address11201 Benton St Rm 1b-126Loma Linda, CA 92357-1000 · (909) 825-7084
Phone(909) 825-7084
Sole ProprietorNo
Enumeration DateJune 24, 2014
Last NPPES UpdateApril 4, 20252 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1053726554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 111281
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 111281 (CA)
11201 BENTON ST RM 1B-126, Loma Linda, CA 92357
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Broussard's NPI number?

The NPI number for Daniel Broussard is 1053726554. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Daniel Broussard located?

Daniel Broussard practices at 11201 Benton St Rm 1b-126, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Daniel Broussard's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Daniel Broussard was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.